Pursue reimbursement for services rendered and resolve accounts receivable by handling insurance carrier denials, appealing claims, contacting carriers about open accounts, and responding to payer correspondence and inquiries.
Key duties include timely and accurate claim follow-up, denial resolution, root cause analysis to reduce future denials, compliant payer communication, registration updates, denial code posting, adjustment posting, and recommending write-offs with supporting documentation. The role also supports HIPAA compliance, process improvement, and special projects as assigned.
Requirements & Qualifications
Required Experience
- At least 2 years of related work experience
- Working knowledge of physician billing and follow-up, including insurance rules and regulations
- Knowledge of HIPAA standards
- Ability to perform mathematical calculations
- Excellent communication skills with patients, families, the public, co-workers, and professional offices
- Basic knowledge of medical terminology and billing practices
- Strong PC skills, including Microsoft Office and Excel
Preferred Experience
- Knowledge of Epic systems
- Three or more years of progressive work experience in hospital/physician billing or SBO
Required Education
- High school diploma or equivalent
Preferred Education
- Two years of college or a college degree
- CPC through AAPC or CCA through AHIMA preferred
Benefits & Perks
Benefits for 0.5 to 1.0 FTE
- Paid time off programs
- Medical, dental, vision, life, and short- and long-term disability insurance
- Health savings and flexible spending accounts
- Defined contribution retirement plans with employer match
- Educational assistance program
Benefits for 0.001 to 0.49 FTE
- Paid leave hours accrued as you work
Additional Compensation
- Base compensation within the pay range based on qualifications and experience
- Premium pay such as shift differential and on-call pay
- Opportunity for annual increases based on performance
Location
Illinois, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
3 weeks ago